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Metástasis Pancreática Metacrónica de un Carcinoma de Células Renales. Reporte de un Caso / Metachronic Pancreatic Metastasis of a Renal Cell Carcinoma. Case Report
Manterola, Carlos; Rivadeneira, Josue; Salgado, Carla; Enríquez, Antonia; Lara, Diego.
Affiliation
  • Manterola, Carlos; Universidad de La Frontera. Temuco. CL
  • Rivadeneira, Josue; Universidad de La Frontera. Temuco. CL
  • Salgado, Carla; Universidad de La Frontera. Temuco. CL
  • Enríquez, Antonia; Universidad de La Frontera. Temuco. CL
  • Lara, Diego; Universidad de La Frontera. Temuco. CL
Int. j. morphol ; 41(5): 1550-1557, oct. 2023. ilus, tab
Article in Spanish | LILACS | ID: biblio-1521030
Responsible library: CL1.1
RESUMEN
El carcinoma de células renales (CCR) a nivel mundial presenta una incidencia de 431.288 casos anuales, causando 179.368 muertes en 2020. Sin embargo, a pesar de su incidencia, el desarrollo de metástasis pancreática (MP) de un RCC es un hecho inusual. El objetivo de este manuscrito fue reportar el caso de una paciente con una MP metacrónica de un CCR. Se trata de una paciente de 56 años, sexo femenino, nefrectomizada derecha hace 132 meses por un CCR, en adyuvancia con inmunoterapia. En un control imagenológico de rutina, se le pesquisó una lesión de aspecto tumoral en el cuerpo y cola del páncreas. Se intervino quirúrgicamente, realizándose una pancreatectomía córporo-caudal con preservación esplénica. Evolucionó de forma satisfactoria, sin complicaciones, siendo dada de alta al 4º día de su cirugía. El informe del estudio de la pieza operatoria con estudio inmunohistoquímico concluyó que se trataba de una MP de CCR. La paciente se encuentra en buenas condiciones generales y reinició quimioterapia con anticuerpos monoclonales. El seguimiento frecuente y prolongado de pacientes con antecedentes de CCR, facilita un diagnóstico y tratamiento oportuno de MP facilitando el mejor pronóstico de los pacientes, con tasas más altas de supervivencia.
ABSTRACT

SUMMARY:

Renal cell carcinoma (RCC) worldwide has an incidence of 431,288 cases per year, causing 179,368 deaths in 2020. However, despite its incidence, the development of pancreatic metastasis (MP) from RCC is unusual. The aim of this manuscript was to report the case of a patient with a PM of a RCC. This is a 56-year-old female patient, underwent right nephrectomy 132 months earlier for RCC. While she was in adjuvant immunotherapy, in a routine imaging control, it was found a tumor lesion in the body and the tail of the pancreas. So, she underwent surgery, performing a corpora-caudal pancreatectomy with splenic preservation. Postoperative evolution was correct, without complications, and she was discharged on the 4th day after surgery. The report of the study of the surgical piece with an immunohistochemical study included, conclusive of PM of RCC. Currently, the patient is in good general condition and restarted chemotherapy with monoclonal antibodies. Frequent and prolonged follow-up of patients with a history of RCC facilitates timely diag- nosis and treatment of PM, facilitating the best prognosis for patients, with higher survival rates.
Subject(s)


Full text: Available Collection: International databases Health context: SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases Health problem: Endocrine System Diseases / Kidney, Renal Pelvis and Ureter Cancer / Pancreas Cancer Database: LILACS Main subject: Pancreatic Neoplasms / Carcinoma, Renal Cell / Kidney Neoplasms Limits: Female / Humans Language: Spanish Journal: Int. j. morphol Journal subject: Anatomy Year: 2023 Document type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de La Frontera/CL

Full text: Available Collection: International databases Health context: SDG3 - Target 3.4 Reduce premature mortality due to noncommunicable diseases Health problem: Endocrine System Diseases / Kidney, Renal Pelvis and Ureter Cancer / Pancreas Cancer Database: LILACS Main subject: Pancreatic Neoplasms / Carcinoma, Renal Cell / Kidney Neoplasms Limits: Female / Humans Language: Spanish Journal: Int. j. morphol Journal subject: Anatomy Year: 2023 Document type: Article Affiliation country: Chile Institution/Affiliation country: Universidad de La Frontera/CL
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